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48 Cards in this Set
- Front
- Back
aluminum based antacids
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Maalox, Tums, Amphojel
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aluminum based antacids side effects are
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constipation (contains a significant amount of sodium)
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Magnesium based (MOM) antacid side effects are
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diarrhea
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Antacids react with
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gastric acid to produce neutral salts or salts of lower acidity
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Antacids should be administration _____ hours between antacid and other meds
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one hour
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Antacids should be administered 1 to 3 hours
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post consumption and hour of sleep
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H2 Histamine receptor Antagonists
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Suppress secretion of gastric acid.
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H2 is used to treat
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GERD and TUD (peptic ulcer disease)
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H2 one should avoid
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alcohol, NSAID, chocolate, caffeine, peppermint, acid foods. One should also avoid cigarete smoking as it interferes with drug action
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PPI
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Proton Pump Inhibitors-used to treat ulcer diseaes
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Mucosal Healing Agents (Carafate)
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treatment of peptic ulcer disease
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Mucosal Healing Agent nursing implications are...
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Med is to be taken one hour prior to meal and antacids interfere with absorption
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Gastrointestinal Stimulants (Reglan) are used to treat____by
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used to tx GERD by stimulate motility of the UPPER GI tract and increase rate of gastric emplying without stimulating gastric, biliary or pancreatic secretions.
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Most popular antimicrobial for H. pylori.
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Flagyl
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A bulk forming laxative (Senokot, Metamucil)
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absorb water into feces and increase bulk to produce stool (acts as ruffage)
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A stimulant cathartic (laxative) (Ducolax, Caster oil, Ex Lax)
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increases peristalsis. Can irritate mucosal lining.
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Osmotic (Saline) cathartics (MOM, Fleet Enema)
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draw in fluids from surrounding tissue into the intestine.
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Stool Softeners (Colace)
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softens the stool to allow easier passage
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Lubricant (laxative) (mineral oil)
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soften feces
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Antidiarrheal
Opiods |
decrease motility and peristalisis
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Types of Antidiarrheal
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opiods, lomotil, immodium
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antispasmodics (Bentyl)
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relax the smooth muscle of GI tract
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Absorbant antidiarrheal drugs
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Pepto Bismol and Kaopectate (both OTC)
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Oral anesthetics are used for
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gum issues, teething baby. (Orajel)
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Antifungal Agent Nystatin
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is a swish and swallow. Many antibiotics taken for long periods of time cause fungus infection so antifungal agents are given to decrease
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Zovirax
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is an Antiviral agent
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Upper GI series (Barium Swallow) nursing indications
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Pre and Post test: Keep NPO after midnight or 6-8 h pretest. Barium will taste chalky. Drink fluids after to eliminate barium, admin. laxative to enhance elimination, explain stool may be white
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Upper GI series (Barium Swallow) is a fluoroscop exam of upper GI tract to determine...
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structural problems and gastric emptying time. Pt. swallows barium and sequential films are taken as it moves through the system.
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Barium tests are done AFTER an
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endoscopy tests to insure visulization with endoscopies
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ERCP (endoscopy)
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looks at the common bile duct
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A Liver biopsy is taken with the patient lying on the ____side so that the Liver can be reached.
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Left side
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A liver biopsy a needle is inserted into the liver to remove a small piece of
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liver tissue to study
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Post Liver Biopsy the patient is to lie
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on the Right side for a few hours post test to provide pressure on the liver (so they don't bleed)
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Nursing indications for liver biopsy
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NPO 6-8 hours prior to test. Observe pt. for hemorrhage, shock and pneumothorax
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Oral cholecystogram is an injection of radiopaque dye and is a test of the gallbladder to determine the
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Gallbladder ability to concentrate and store dye and to assess patency of biliary tract.
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An Ultrasound is used in detecting
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cystic structures (cysts, abscesses, tumors)
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Dysphagia
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difficulty swallowing
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General Guidelines for safe swallowing
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Maintain upright position (near 90 degrees) when eating/drinking. Take small bites, eat slowly, avoid talking when eating.
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Vitamin A
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maintains health of specialized tissues such as the retina, aids in growth of mucous membranes, promotes normal dev. of teeth and soft and skeletal tissue.
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Vitamin A sources
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animal sources such as meat, eggs, dairy. Beta-carotene (precursor to Vit. A) and from green leafy vegetables and int. colored fruits and vegetables.
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Nictalopia
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Vitamin A deficiency-loss of night vision
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Vitamin D promotes the body's absorption of _____, which is essential for the dev. of healthy bone and teeth
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calcium
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Vitamin D sources
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The body makes its own when it is exposed to sunlight and als from Cheese, butter, margarine, as well as fortified milk, fish, and cereals
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Vitamin D deficiency
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rickets
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Vitamin E
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aids in formation of RBC, prevents aging of cells
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Sources of Vitamin E
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corn, nuts, olives, green leafy vegetables, vegetable oil, wheat germ. Food alone is not sufficient so suppliments are helpful
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Vitamin K
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helps to maintain healthy levels of prothrombin (benefits in blood clotting)
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Vitamin C (asorbic acid)
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healthy immune system, helps wound heal, maintains connective tissue and aids in iron absorption
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